OPTUM INFUSION SERVICES 100, INC.
NPI: 1043275969
· FARMINGDALE, NY 11735
· Parenteral & Enteral Nutrition Supplies (DME)
· NPI assigned 04/20/2006
$290K
Total Medicaid Paid
Provider Details
| Authorized Official | OBERG, DAVID (VP, COMPLIANCE) |
| NPI Enumeration Date | 04/20/2006 |
Related Entities
Other providers sharing the same authorized official: OBERG, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,397 |
$252K |
| 2019 |
383 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S9500 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
1,892 |
183 |
$190K |
| 99601 |
|
888 |
307 |
$99K |